Post-vagotomy complications

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differential diagnosis of dumping syndrome based on post-vagotomy complications:

Gastric dumping syndrome should be differentiated from other diseases presenting with weight loss, vomiting, diarrhea, and abdominal pain. The differentials include the following:

Differential Diagnosis for Postgastrectomy complications	Clinical features	Diagnosis
Short bowel syndrome	Upper abdominal pain, diarrhea, malnutrition, weight loss	LFTs, liver biopsy, Upper GI series, CT scan
Small-capacity syndrome	Early satiety, malnutrition, weight loss	Clinical diagnosis with a history of surgery
Afferent loop syndrome	Upper abdominal pain, early satiety, relief after vomiting	Ultrasound, Barium enema
Efferent loop syndrome	Upper abdominal pain, distention, vomiting	CT scan, Upper GI series
Postvagotomy diarrhea	Watery Diarrhea	Clinical diagnosis with a history of surgery